- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Denial Resource Center Appeal Support Specialist is responsible for ensuring that complete and accurate appeals of denied claims are ... according to guidelines set forth by the payer. The Appeal Support Specialist processes submissions...an appeal letter with details of the denial and information to support overturning the… more
- Sanford Health (Sioux Falls, SD)
- …interpreting medical policies. The As a lead position, lead appeals and denial specialist this role will additional support the leads the team by providing ... the ability to identify resources and support processes for the appeal and denial team. Serves as the go to source for complex questions and issues.… more
- HCA Healthcare (Nashville, TN)
- …Sign-On Bonus Eligible* Do you have the career opportunities as an Inpatient Coding Denial Specialist you want with your current employer? We have an exciting ... Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny...Do you want to work as an Inpatient Coding Denial Specialist where your passion for creating… more
- Carle (Urbana, IL)
- Outpatient Denial /Appeals Specialist - RN + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + ... medical necessity for outpatient services provided and billed and author effective clinical denial and prior authorization appeal letters. + Stay abreast of any… more
- Nuvance Health (Danbury, CT)
- …manner in collaborationand working closely with the physical advisors, Clinical Denial Specialist nurses, Case managers, Case Management Operation Coordinators, ... to insurance companies including Medicare and Medicaid for entire network. Provides support in all the administrative and clerical duties to promote efficient and… more
- McLaren Health Care (Bay City, MI)
- **Position Summary:** Responsible for timely and accurate processing, follow-up, and appeal of audits and denial activity received from payers and/or auditors . ... support to both internal and external customers for denial /appeals activities and audits. Assists with monitoring and auditing... in response, tracking and completion of all payer audit/ denial / appeal activity to ensure that timelines in… more
- Hartford HealthCare (Farmington, CT)
- …for improvement. . Works with insurance companies as needed to resolve and appeal denials. . Proposes denial prevention workflows to achieve greater efficiency ... comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and.... Monitors and follows up on appeals to ensure appeal has resulted in an overturned denial … more
- Intermountain Health (West Valley City, UT)
- …researching and appealing denied medical claims. Responsible to proactively identify insurance denial trends and to then work with Payer Contracting on these issues. ... insurance laws so that they can file the appropriate appeal based on the law that applies. **Schedule -...+ Understands and identifies the true reason of the denial and looks at payer contracts, clinical data and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... risk and exposure caused by front end claim edits and retrospective denial of payments for services provided. This position will collaborate with physicians,… more
- Priority Health Care (Marrero, LA)
- …contract summaries to verify balances due on disputed claims, and coordinating payor denial and appeal follow-up activities. This also involves ensuring timely ... documentation requests, and appeals, and monitoring day-to-day activities related to appeal follow-up and denials. Additionally, the Specialist is responsible… more
- Fairview Health Services (St. Paul, MN)
- …responsibilities. Additionally, this position will actively manage, maintain and communicate denial / appeal activity to appropriate stakeholders and report ... **Overview** The Physician Coding Denials Specialist performs appropriate efforts to ensure receipt of...activities that directly impact Physician reimbursement. This position will support change management by tracking and communicating trends and… more
- TEKsystems (Jackson, MS)
- …The Appeals Specialist 1, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for report trending. ... tapes/audio Works with associates, departments and facilities to understand denial / appeal management processes. Skills: medical claims processing, insurance… more
- Guthrie (Sayre, PA)
- …resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request guidance ... payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist...appropriate follow up for claims that require correction or appeal . 9. Provides timely resolution of credit balance as… more
- Hackensack Meridian Health (Neptune, NJ)
- …team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep ... and serve as a leader of positive change. The **Care Coordination Specialist ** performs selected services and functions related Transitions of Care & Utilization… more
- Tufts Medicine (Lawrence, MA)
- …proper authorization for all services. Position focuses on complex pre-certification duties, including denial and appeal workflow, and acts as a resource for the ... patients are scheduled for recommended appointments/procedures, etc. An organizational related support or service (administrative or clerical) role or a role that… more
- El Paso County (Colorado Springs, CO)
- …appeal letters to insurance carrier when not in agreement with a claim denial . Collects necessary information to accompany the appeal . + Prepares patient ... Medical Billing Specialist (Part-Time) Print (https://www.governmentjobs.com/careers/elpasocountyco/jobs/newprint/4692242) Apply Medical Billing Specialist … more
- Randstad US (Franklin, TN)
- …CPC certification is preference but not required. The Medical AR Follow-up & Denial Specialist is primarily responsible for analyzing and resolving all insurance ... revenue cycle specialist . + franklin , tennessee + posted october...perm + high school + category office and administrative support occupations + referenceAB_4634057 job details If you are… more
- ZOLL Medical Corporation (Broomfield, CO)
- …This position is responsible to resolve aged accounts and must have denial management experience in multiple states and sometimes internationally. Must have Revenue ... management. Experience working in the ambulance transportation field preferred. Responsibilities Denial Management - Research and determine claim denials and take… more
- ZOLL Medical Corporation (Broomfield, CO)
- …This position is responsible to resolve aged accounts and must have denial management experience in multiple states and sometimes internationally. Must have Revenue ... and management. Experience working in the ambulance transportation field preferred. + Denial Management - Research and determine claim denials and take appropriate… more
- Tidelands Health (FL)
- … appeal letters, dispute determination responses, and redetermination to support reimbursement of services rendered. + Collaborate with the Compliance/Quality ... from various departments and processes corrections for clean claim submission or posts claim denial review for appeal . + As assigned, assists in training new… more